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Related Concept Videos

Cardiopulmonary Resuscitation I: Adult01:21

Cardiopulmonary Resuscitation I: Adult

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Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
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Pulse rhythm01:30

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Pulse amplitude is a crucial indicator of cardiac health because it provides valuable insights into the strength of left ventricular contractions and the overall uniformity of blood circulation within the vasculature. The strength of the pulse is directly related to the force with which the heart contracts and the volume of blood being pumped.
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Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
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Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
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The PULSE Study: Paramedic Upgrade and Life Support Evaluation.

Mark McGraw1, Kavish Chandra2, Jay Mekwan2

  • 1Department of Emergency Medicine, Dalhousie Medicine New Brunswick, Horizon Health Network, Saint John, NB, Canada. Mark.McGraw@dal.ca.

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|November 5, 2025
PubMed
Summary
This summary is machine-generated.

Implementing an advanced care paramedic program significantly improved survival rates for out-of-hospital cardiac arrest patients. This initiative enhanced emergency medical services (EMS) response and patient outcomes.

Keywords:
ACLSACPAdvanced care paramedicCardiac arrestEMSEmergency medical servicesOHCAParamedicsPrehospital careROSC

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Area of Science:

  • Emergency Medicine
  • Cardiology
  • Public Health

Background:

  • Out-of-hospital cardiac arrest (OHCA) presents a critical public health challenge.
  • Effective emergency medical services (EMS) are crucial for improving OHCA survival rates.
  • Advanced care paramedic (ACP) programs aim to enhance prehospital resuscitation capabilities.

Purpose of the Study:

  • To assess the impact of a regional advanced care paramedic program on OHCA patient outcomes.
  • To evaluate changes in survival to hospital admission and discharge.
  • To determine the effectiveness of ACP integration into EMS response.

Main Methods:

  • Retrospective health records review of adult OHCA patients.
  • Comparison of pre-implementation (2010-2014) and post-implementation (2016-2019) periods.
  • Multivariable logistic regression analysis adjusting for key clinical variables.

Main Results:

  • Survival to hospital admission increased significantly (14.9% to 24.7%).
  • Survival to hospital discharge showed a substantial improvement (3.1% to 11.1%).
  • Return of spontaneous circulation occurred more frequently post-implementation.

Conclusions:

  • ACP program implementation is associated with significantly improved OHCA survival.
  • Strategic integration of ACPs can enhance resuscitation capabilities and patient outcomes.
  • Developing EMS systems can benefit from ACPs for improved cardiac arrest response.